Page 166 - boneArtis - Digital Catalog
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Fig. 125 Fig. 126 Fig. 127
Fig. 128a, b
Fig. 129 Fig. 130
Fig. 131 and 132
Fig. 133 and 134
Fig. 135a–d
Fig. 136
Back cover
Operative situ with removal of the necrotic tissue using the SDI technology.
Perfect result with one large osteo-cartilage graft from the patellar groove.
Hemi cut through the talus, the vasculature of which was  lled with an acry- lic self-curing cast. All compartments of the talus are very well vascularized; sample of a 20-year old man.
Lateral approach for the talus. Arc-like incision around the lateral malleolus (a) and freeing of the periosteum-covered  bular bone (b).
Steep osteotomy and bony cut of the anterior syndesmosis using a chisel.
Osteotomy of the  bular bone allowing a perpendicular approach to the talus dome.
Transtibial approach in a case of osteoarthritis of the ankle joint with de- struction of both surfaces. Autologous resurfacing of the talus dome with two grafts. The transtibial channel is two sizes larger than the tool for the talus reconstruction.
Posttraumatic osteoarthritis of the ankle joint in a 60-year old man.
The resurfacing through the tibial bone is controlled by the arthroscope (a, b). The retrograde  lling of the tibial joint surface has to be secured by a K- wire (c); all three grafts were gathered from the patellar groove; one graft for the donor bed was taken out from the distal metaphysis of the femur (d).
Maxillofacial surgeons gather the bone replacing part or the whole of the mandible from the distal femoral metaphysis; the huge defect after bone re- moval (a) is  lled with Ceraball® (b), which stops bleeding and yields a full restoration within the following 6-8 weeks. The X-ray shows the huge defect after removal of the graft (c, d).
Fig. 13a, 67 and Fig. 07.

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